UNITED STATES DISTRICT COURT NORTHERN DISTRICT OF FLORIDA PETITION FOR ADMISSION TO THE BAR
I. Attorney Information: _____________________________ Bar Number & State of Issuance _____________________________ Attorney E-Mail Address
________________________________________ Last Name First Name Middle Name ________________________________________ Firm Name
_____________________________________________________________________________ Firm Physical Address City Zip Code _____________________________________________________________________________ Firm Mailing Address (i.e. P.O. Box) City Zip Code ________________________________________ Main Office Phone Number Extension _____________________________ Main Office Fax Number
Completion of Tutorials
Both tutorials are required by ND/FL L.R. 11.1(A). No waiver or exceptions will be allowed.
_______ I have completed the following tutorials: On-line local rules tutorial Date tutorial completed: Confirmation Number: CM/ECF Tutorial Date tutorial completed:
Bar Membership Credentials:
I am admitted to practice before the following courts (attach separate list if needed): (A.) (B.) (C.) (D.) (E.) _____________________________ _____________________________ _____________________________ _____________________________ _____________________________ Date Admitted _______________________ Date Admitted _______________________ Date Admitted _______________________ Date Admitted _______________________ Date Admitted _______________________
Request for Expedited Petition If there is cause for your petition to be processed within 1- 3 working days of receipt by the Clerk's Office, please indicate below. (Petitions are normally processed within 7 working days.) Please expedite my petition. Reason: ______________________________________________________________ _____________________________________________________________________ ____________________________________________________________________ Attachments to the Petition: Attach an original certificate of Good Standing from the Florida Bar or the state bar in which you are a member. The certificate of Good Standing should be dated within thirty (30) days of the date of the submitted petition. Attach the admission fee of $170.00 payable to Clerk, U.S. District Court. $20.00 of this fee will be deposited into the Federal Bench and Bar Fund of the Court.
Under penalty of perjury and subject to the provisions of the special rules governing the admission I hereby apply for admission to practice in the United States District Court for the Northern District of Florida.
Please return the completed application to: Clerk, U.S. District Court Attn: Attorney Admissions 30 West Government Street Panama City, FL 32401 ***Once you receive your email notice of admission to the Northern District of Florida bar, you should register for a login for Electronic Case Filing (CM/ECF). Please refer to the CM/ECF tab on our web site at www.flnd.uscourts.gov. Your admission to the bar does not automatically enroll you for electronic case filing. That is an on-line request , and must be submitted separately. *** (AttyApp1/2007)